Organization Active NPI

D'Amore Russo Dental Design Studio Dr DDS

  • General Practice Dentistry
  • Montclair, NJ
National Provider Identifier
1609364108
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
D'AMORE RUSSO DENTAL DESIGN STUDIO DR DDS
Practice address
100 Grove St Ste 3
Montclair, NJ 07042-4006
Phone
(973) 233-1161
NPI assigned
Apr 30, 2018
Last updated
Apr 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joseph Carlo D'Amore, DDSNPI 1013078773
Title
Dentist
Phone
(973) 233-1161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

100 Grove St Ste 3
Montclair, NJ 07042-4006

Mailing address

100 Grove St Ste 3
Montclair, NJ 07042-4006
Phone (973) 233-1161

National Provider Directory

National Provider Directory

Locations

100 Grove St
Ste 3
Montclair, NJ 07042
Phone (973) 233-1161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1609364108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GROVE ST STE 3",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424006",
            "telephone_number": "973-233-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GROVE ST STE 3",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424006",
            "telephone_number": "973-233-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D'AMORE RUSSO DENTAL DESIGN STUDIO DR DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "D'AMORE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CARLO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "973-233-1161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.